Active NPI
Lori Nanette Bowler, P.T.
- Physical Therapist
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007383
- Practice address
- 101 Yorktown Dr
Suite 211
Fayetteville, GA 30214-1568 - Phone
- (770) 460-4054
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007383 | GA | Primary |
Addresses
Primary practice location
101 Yorktown Dr
Suite 211
Fayetteville, GA 30214-1568
Mailing address
455 Ridgewood Dr
Fayetteville, GA 30215-8162
Phone (770) 461-3880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 C Clifton Rd NE
Atlanta, GA 30322-1013
Phone (470) 870-8260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007383 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Ste C1012
Atlanta, GA 30322
Phone (470) 870-8260
11242 Cumming Hwy
Ste 105
Canton, GA 30115
Phone (770) 720-7156
875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1164182333
Physical Therapist
-
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1811319023
Physical Therapist
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1962824003
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902937089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 RIDGEWOOD DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302158162",
"telephone_number": "770-461-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 YORKTOWN DR",
"address_2": "SUITE 211",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302141568",
"telephone_number": "770-460-4054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLER",
"first_name": "LORI",
"middle_name": "NANETTE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.